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AFTER SCHOOL - SAFETY SUPPORT
Parents,

Raising children, managing your household and work does not always run on a schedule that allows you to be in direct contact with your child’s school Administration Team, especially when safety issues arise. Often times, these issues will come to a parent’s attention well outside the school day with no reliable way to alert school Administration which is something our District wishes to provide added help

To provide appropriate assistance on behalf of your child, please provide the following information:
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Email *
Date of Incident *
MM
/
DD
/
YYYY
Bullied Individual(s) *
Grade Level *
Location of the Incident *
Individual(s) Who Bullied *
Description of Bullying Behavior *
Name of Witnesses *
Do you or your friends feel unsafe? *
Person Reporting the Bullying *
Form Completed By... *
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